Simple Pneumonia and Pleurisy Without Cc/Mcc in Massachusetts
MS-DRG 195: Simple pneumonia and pleurisy without cc/mcc
$14,152typical hospital bill
$5,581typical amount paid
$5,129–$5,899range paid across 8 hospitals
Massachusetts hospitals billed Medicare a typical $14,152 for this stay in 2024, about 2.5 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Falmouth Hospital | Falmouth | 11 | $14,346 | $5,129 | |
| South Shore Hospital | South Weymouth | 30 | $13,390 | $5,247 | |
| Southcoast Hospitals Group | Fall River | 18 | $15,923 | $5,428 | |
| Winchester Hospital | Winchester | 17 | $12,212 | $5,510 | |
| Anna Jaques Hospital | Newburyport | 14 | $12,629 | $5,652 | |
| Newton-Wellesley Hospital | Newton | 11 | $18,783 | $5,761 | |
| Northeast Hospital Corporation | Beverly | 18 | $17,064 | $5,882 | |
| Lowell General Hospital | Lowell | 13 | $13,959 | $5,899 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.